Organization
MICHAEL L WEBER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L WEBER MD (OWNER)
(718) 544-1474
Entity
Organization
Contact information
Practice address
10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
(718) 544-1474
(718) 544-1470
Mailing address
10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
(718) 544-1474
(718) 544-1470
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80A422
BC/BS
NY
Enumeration date
11/20/2007
Last updated
11/20/2007
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